Haidut,
Here's the printout he was given. Cipro was in bold, as shown. Note that it shows to be the lowest value, with
Trimeth/Sulfameth the next closest. Someone (doctor or other personnel who reviewed this with us, made the scratch mark). This suggests Trimeth/Sulfameth is next-best. Is this the class of drugs Bactrim is in? Bactrim was discussed as a possible option for the last 2 weeks of treatment- 2 wks on Cipro, 2 wks on Bactrim. Yesterday's doctor didn't recommend switching because of possible side effects of Bactrim, and another drug being introduced, possible resistance situation down the road. Don't know if this is accepted position among doctors. That was his opinion, in spite of our hesitancy about Cipro.
What class does Ampicillin belong to? Is it part of those listed? He did get IV for 4 days between ER and inpatient, which was Rocephin (Ancef). They said it was a pencillin relative.
CULTURE >100,000 Col/ml Escherichia coli
SUSCEPTIBILITY
ORGANISM >100,000 Col/ml Escherichia coli
METHOD MIC
Ampicillin <=4 Susceptible
Ampicill/Sulbact. 4/2 Susceptible
Cefazolin <=1 Susceptible
Cefazolin results predict results for the oral agents cefaclor, cefdinir, cefpodoxime,
cefprozil, cefuroxime, cephalexin, and loracarbef.
Ceftriaxone <=1 Susceptible
Ciprofloxacin <=0.5 Susceptible
Gentamicin <=1 Susceptible
Levofloxacin <=1 Susceptible
Nitrofurantoin <=16 Susceptible
Tetracycline <=2 Susceptible
Organisms that are susceptible to tetracycline are considered susceptible
to doxycycline and minocycline.
Tobramycin <=2 Susceptible
Trimeth/Sulfameth <=0.5/9.5 Susceptible -
Ceftazidime <=2 Susceptible
Rocephin is not a penicillin relative. It belongs to this class of drugs:
Cephalosporin - Wikipedia
Amipicillin is similar to amoxycillin and penicillin, In fact, they are almost the same antibiotic.
Penicillin - Wikipedia
Given that the tetracyclines are listed as having a lower value than ampicillin maybe you can ask about those. I would bring up the possible side effects of cipro with the doctor. Taking it for 30 days is long enough to manifest the mitochondrial toxicity, cartilage damage or heart arrhythmia. If the doctor is OK with switching, maybe then you can ask about the tetracycline or a higher dose ampicillin.